Admission DC Guidelines

Question 1

How are FIM ratings assigned?

Answer 1

Based on activities performed during the entire 3 calendar-day period

Question 2

On what are DC FIM ratings based?

Answer 2

One 24-hr period during the last 3 days of the Pt’s stay

Question 3

On what day are DC FIM ratings typically done?

Answer 3

The day before DC

Question 4

Who has a say in DC FIM ratings?

Answer 4

All disciplines

Question 5

What categories can NOT receive a “0 - Activity did not occur” on admission?

Answer 5

Bladder FIMs
Bowel FIMs
Cognitive FIMs

Question 6

If Bladder, Bowel, and/or Cognitive FIMs have not occurred by DC, do they still get rated a “0 - Activity did not occur?”

Answer 6

No, they get a “1 - Total Dependence” @ DC

Question 7

Is direct observation the only method for rating FIMs?

Answer 7

No - credible reports such as prior medical record, other staff report, family, and friends may be used although direct observation is the best method

Question 8

Should FIM ratings reflect the Pt’s past, present, or future?

Answer 8

Present - they should reflect the current situation of the Pt, not what he/she could do under different circumstances